STAT ECG Diagnoses: arrhythmias after thrombolysis for myocardial infarction (MI)

ECG Weekly Workout with Dr. Amal Mattu


An 86-year-old man presents to the ED with substernal chest pressure, diaphoresis, and vomiting. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. In the era of COVID-19, how would you manage this patient?
  3. What do guidelines say about systemic fibrinolytic therapy vs. primary PCI for treatment of STEMI?